W. Va. Code R. § 126-27-8

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 126-27-8 - Administration of Non-Prescribed OTC Medication

8.1. Non-prescribed OTC medications shall be administered under the direction of the building level administrator/principal only after meeting the following requirements (registered nurses and licensed practical nurses cannot administer non-prescribed OTC medications without an order from a licensed prescriber):

8.1.a. Medication authorization form is provided from the parent/guardian.

8.1.b. The school administrator/principal has the authority to determine if the administration of the non-prescribed OTC medication may be safely delegated to the administrator's designee as defined in Section 4.2.

8.1.c. The school administrator/principal has the authority to contact the parent/ guardian or a licensed health care provider to clarify any questions about the medication being administered.

8.2. Any non-prescribed OTC medication(s) must be provided by the parent/guardian with the exception of the WVDHHR/BPH Children's Dentistry Project Fluoride Rinse Program where the fluoride rinse is considered a public health need especially in areas which lack optimal fluoridated water. The fluoride rinse program with standard includes 0.2% sodium fluoride solution which can decrease the incidence of dental caries by 35% according to the National Institute of Dental Research thus supplied to schools through the WVDHHR/BPH Oral Health Program.

8.2.a. The administration of fluoride rinse must be in accordance with the WVDHHR/BPH-Oral Health Program's Instruction for Conducting the Fluoride Rinse Program including record maintenance of parent/guardian permission forms and date/time of program administration including each student participating in the program.

8.2.b. The fluoride rinse program is exempt from the requirements of CPR with AED certification, first aid training and the designated qualified personnel requirements of Section 4.5 of this policy. County board of education approved volunteers may assist with the administration of this program as approved by the school administrator/principal.

8.3. Non-prescribed OTC medication shall be in the manufacturer's original packaging clearly marked with the following:

8.3.a. student's name (affixed to original manufacturer's packaging),

8.3.b. name of medication,

8.3.c. ingredients,

8.3.d. dosage, time and route,

8.3.e. reconstitution directions, if applicable, and

8.3.f. medication expiration date.

8.4. Medication administration steps must be followed exactly as outlined by the WVDE.

8.4.a. Medication administration must take place in a clean and quiet environment where privacy may be established and interruptions are minimal.

8.4.b. The parent/guardian is to be contacted immediately when a medication's appearance or dosage is questioned. The administrator's designee shall take the appropriate steps to assure the medication is safe to administer.

8.4.c. The parent/guardian is to be contacted immediately when a condition suggests that it may not be appropriate to administer the medication.

8.5. Medication administration incidents include, but are not limited to, any deviation from the instructions provided by the parent/guardian consistent with manufacturer's directions. The school administrator/principal shall be contacted immediately in the event of a medication incident. The school administrator will then contact the parent/guardian, if necessary. The school administrator/principal or designee shall:

8.5.a. Contact the West Virginia Poison Center for management recommendations in response to a medication incident.

8.5.b. Document all circumstances, orders received, actions taken and student's status.

8.5.c. Submit a written report to the administrator and county superintendent at the time of the incident. The report should include the name of the student, the parent/guardian name and phone number, a specific statement of the medication incident, who was notified, and what remedial actions were taken.

8.5.d. When a parent/guardian authorizes a non-prescribed OTC medication to be given in addition to a known prescribed medication, the administrator/principal or school nurse shall validate the safety of multiple medications. At times, this validation process may require a licensed prescriber order.

W. Va. Code R. § 126-27-8